中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (12): 1242-1246.DOI: 10.11852/zgetbjzz2014-22-12-04

• 科研论著 • 上一篇    下一篇

《中国儿童发育量表》修订及效度研究

金春华1,李瑞莉2,张丽丽1,张悦1,李娜1,王建红1,王晓燕1,梁卫兰3,张轶勋4,
魏庄5,张峰5,梁爱民6,赵璐7,鲍玲8,孔亚楠9,陈博文2   

  1. 1 首都儿科研究所儿童保健科,北京 100020;
    2 首都儿科研究所儿童卫生发展研究室,北京 100020;
    3 北京大学第一医院预防保健科,北京 100034;
    4 北京市朝阳区妇儿医院朝阳区妇幼保健中心,北京 100021;
    5 首都医科大学附属北京儿童医院保健中心,北京 100045;
    6 首都医科大学附属北京妇产医院,北京妇幼保健院,北京 100026;
    7 北京市昌平妇幼保健院儿童早期综合发展中心,北京 102200;
    8 北京市大兴妇幼保健院儿童保健中心,北京 102600;
    9 北京市东城区第二妇幼保健院儿童保健科,北京 100061
  • 收稿日期:2014-01-10 发布日期:2014-12-10 出版日期:2014-12-10
  • 通讯作者: 陈博文,E-mailbowenc@126.com;jinchunhuabj@sina.com
  • 作者简介::金春华(1960-),女,辽宁人,主任医师,学士学位,主要研究方向为发育行为儿科,儿童生长发育。
  • 基金资助:
    “十二五”国家科技支撑计划项目(2012BAI03B01);首都医学发展科研基金项目(2009-1047)

The revision and according validity research of 〈China Developmental Scale for Children〉.

JIN Chun-hua1,LI Rui-li2,ZHANG Li-li1,ZHANG Yue1,LI Na1,WANG Jian-hong1,WANG Xiao-yan1,LIANG Wei-lian3,ZHANG Yi-xun4,WEI Zhuang5,ZHANG Feng5,LIANG Ai-min6,ZHAO Lu7,BAO Ling8,KONG Ya-nan9,CHEN Bo-wen2.   

  1. 1 Department of Child Health Care,Capital Institute of Pediatrics,Beijing 100020,China;
    2 Department of Child Health Development,Capital Institute of Pediatrics,Beijing 100020,China;
    3 Department of Children's Health Care,First Hospital of Peking University,Beijing 100034,China;
    4 Children's Health Care Center,Beijing Chaoyang Women and Child Health Hospital,Beijing 100021,China;
    5 Health Care Center,Beijing Children's Hospital Affiliated to Capital Medical University,Beijing 100045,China;
    6 Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing 100026,China;
    7 Integrated Early Child Development Centre,Changping Maternal and Children Health Care Hospital,Beijing 102200,China;
    8 Children's Health Care Center, Daxing Maternal and Child Health Care Hospital,Beijing 1002600,China;
    9 Children's Health Care Department,Dongcheng Second Maternal and Child Health Care Hospital,Beijing 100061,China
  • Received:2014-01-10 Online:2014-12-10 Published:2014-12-10
  • Contact: CHEN Bo-wen,E-mail:bowenc@126.com; jinchunhuabj@sina.com

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被引次数

11

摘要： 目的 研究“儿心量表”修订后《中国儿童发育量表》的结构效度及校标效度,为制定全国常模以及诊断性发育量表提供可行性依据。方法 在北京市地区抽样人群中,用《中国儿童发育量表》初始修订表进行测试;运用项目分析、探索性因素分析、验证性因素分析及结构方程模型分析方法确定量表的结构及结构效度;以Gesell发展量表为外在校标进行相关分析。结果 共测试0~84月龄儿童2 779名,男童1 468名,女童1 311名。男:女比为1.1∶1,按项目实际受试人次计,共测试77 329人次。具有鉴别力的(CR值,P<0.05)项目占99.2%(259/261)。将量表每3个月的项目为一个整体(子集)进行因素分析, 9个子集的KMO值分别为0.938、0.954、0.933、0.932、0.940、0.942、0.948、0.976、0.956;旋转后提取因子特征值大于1的累积方差贡献率分别为66.9%、 55.2%、57.6%、59.4%、50.5%、59.7%、61.0%、59.7%、59.2%。量表的5个维度与提取因子载荷匹配基本吻合。通过对以因素分析的9个子集进行强制性验证性因素分析,5个维度构想与实际数据的拟合度良好。考虑发展量表特点及验证性因素分析样本量要求,再将前后连续、相邻月龄项目进行组合即1月龄与2月龄,2月龄与3月龄之后以此类推,再进行验证分析,分析参数CFI及NNFI均大于0.9,RMSEA在0.08以下占79.2%(19/24),最大为0.98,仍提示五维度的构想合理。与Gesell量表的关系(Pearson)系数为0.637。结论 修订后《中国儿童发育量表》结构效度较高,测验项目鉴别力强,五维度的量表结构合理,符合诊断性发育评估量表参数,可作为制定全国常模的基础量表。

关键词: 儿童, 发育, 量表, 结构效度, 因素分析, 验证性因素分析

Abstract: Objective To study the construct validity and effective validity of the revised 〈China Developmental Scale for Children〉 and provide support for national norm and diagnostic development scale. Methods The revised 〈China Developmental Scale for Children〉 was used among sampled Beijing population.Item analyse,exploratory factor analysis,confirmatory factor analysis and structural equation modelling analysis were used to determine the scale structure and structure effectiveness.Gesell Development Scale was performed to external effective validity analyse. Results Among 2 779 from 0 to 84 months old children,1 648 were boy and 1 311 were girl.77 329 tests were performed.99.2% (259/261) of the test items had discriminability (critical ratio,P<0.05).Regroup the samples for every three months age.9 subsets KMO were 0.938,0.954,0.933,0.932,0.940,0.942,0.948,0.976,0.956;5 dimension of the scale and extract factor loading analyze generally matched.After performing compulsory testing verify analyses for 9 subsets,idea of five dimension and actual data were fitted well.Considering the characteristic of development scale and the sample request of verify factor analyses,adjacent month aging was regrouped and verify analyses,the analyses parameter CFI and NNFI were both greater than 0.9,79.2% (19/24) of the sample had RMSEA lower than 0.08,the highest value was 0.98 which still matched the five dimension idea.The Pearson factor between Gasell scale was 0.637. Conclusion The revised 〈China Developmental Scale for Children〉 has good structure effectiveness and discrimination.Five dimension structure is reasonable and matches the diagnose development scale parameters.The result can be adapted as the foundation of national norm scale.

Key words: child, development, scale, construct validity, factor analysis, confirmatory factor analysis

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